Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $57.54 / $57.54	Facility	26	$38.02	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $407.38	Professional		$120.23	$239.88	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $57.54 / $125.89	Professional	26	$37.15	$57.54	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $169.82 / $316.23	Professional	TC	$89.13	$169.82	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $117.49	Professional		$91.20	$102.33	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $47.86 / $63.10	Professional	26	$30.20	$47.86	$63.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	TC	$467.74	$467.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $251.19	Professional		$117.49	$213.80	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $109.65	Professional	26	$60.26	$85.11	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $128.82 / $151.36	Professional	TC	$70.79	$128.82	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $407.38	Professional		$123.03	$245.47	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $69.18 / $120.23	Professional	26	$41.69	$69.18	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $169.82 / $281.84	Professional	TC	$87.10	$169.82	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $338.84	Professional		$107.15	$154.88	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.77 / $74.13	Professional	26	$33.11	$46.77	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $104.71 / $269.15	Professional	TC	$72.44	$104.71	$269.15